Published: 05 January, 2022 | Volume 6 - Issue 1 | Pages: 001-008
ITP in remission and remitting and relapsing refractory HIT: 55-y male with a past medical history of Immune Thrombocytopenia (ITP) in remission for 2-years. Post cardiac surgery of Tissue AVR plus 2xCABG surgery, on ECMO, with HIT and pulmonary emboli. A complicated course of HIT with the initial response to Argatroban but relapsed with severe and refractory HIT on Argatroban with Bowl ischemia requiring abdominal surgery. Possible cross-over of autoimmune ITP to autoimmune HIT. Repeat HIT antibody screening negative. No Platelet function assays are available. Too unwell, palliative passed away before receiving IV IG.